Individual provider Active NPI

Cynthia D Tinkham

  • Registered Nurse
  • Creedmoor, NC
National Provider Identifier
1649856873
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
134597 Issued in NC
Practice address
933 Woodland Rd
Creedmoor, NC 27522-8353
Phone
(919) 943-8724
NPI assigned
Mar 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 134597 NC Primary

Addresses

Primary practice location

933 Woodland Rd
Creedmoor, NC 27522-8353

Mailing address

933 Woodland Rd
Creedmoor, NC 27522-8353
Phone (919) 943-8724

Other identifiers 1

IdentifierTypeStateIssuer
4359871OtherNCDRIVERS LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL C.tinkham@yahoo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
134597NCMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1649856873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 WOODLAND RD",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275228353",
            "telephone_number": "919-943-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 WOODLAND RD",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275228353",
            "telephone_number": "919-943-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINKHAM",
        "first_name": "CYNTHIA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "134597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "4359871",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "C.tinkham@yahoo.com",
            "affiliation": "N",
            "address_1": "933 Woodland Rd",
            "city": "Creedmoor",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275228353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Creedmoor, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.